Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.60 / $60.60 / $96.98	Facility	26	$60.60	$60.60	$96.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $315.30 / $522.50	Professional		$222.36	$315.30	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.22 / $90.28 / $140.00	Professional	26	$58.22	$90.28	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.22 / $232.48 / $368.50	Professional	TC	$163.22	$232.48	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.65 / $533.91 / $559.91	Professional		$432.65	$533.91	$559.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.12 / $137.13 / $143.33	Professional	26	$111.12	$137.13	$143.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $321.52 / $396.79 / $416.11	Professional	TC	$321.52	$396.79	$416.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $515.66 / $818.21	Professional		$318.14	$515.66	$818.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.97 / $104.16 / $145.81	Professional	26	$59.97	$104.16	$145.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.54 / $386.30 / $698.76	Professional	TC	$242.54	$386.30	$698.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $715.72 / $2,961.02	Professional		$336.60	$715.72	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.08 / $115.12 / $505.24	Professional	26	$60.08	$115.12	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $279.64 / $572.95 / $2,631.72	Professional	TC	$279.64	$572.95	$2,631.72
United Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $556.66 / $825.33	Professional		$266.02	$556.66	$825.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $111.63 / $151.06	Professional	26	$61.71	$111.63	$151.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.92 / $454.14 / $674.06	Professional	TC	$198.92	$454.14	$674.06